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[卓-艾综合征当前的治疗问题。个人病例]

[Current therapeutic problems in the Zollinger-Ellison syndrome. Personal cases].

作者信息

Cavina E

出版信息

Minerva Med. 1982 Nov 10;73(43):3015-21.

PMID:7145178
Abstract

The topical nature of the treatment of Zollinger-Ellison syndrome arises from the alternatives to total gastrectomy, namely medical management with cimetidine, and tumorectomy. The various stages in the history of the syndrome are described with reference to a personal series of 16 cases, and various observations are made with regard to the clinical aspects of its diagnosis, treatment, and emergency surgical management. A detailed account is given of several illustrative cases. Detailed assessment of the various factors on which the current indications for surgery are based suggests that a certain degree of eclecticism should be adopted, though the results offered by total gastrectomy must be regarded as sound in the long term.

摘要

卓-艾综合征治疗的局部性源于全胃切除术的替代方案,即西咪替丁药物治疗和肿瘤切除术。结合本人收集的16例病例系列描述了该综合征历史上的各个阶段,并对其诊断、治疗及急诊手术处理的临床方面进行了各种观察。详细介绍了几例说明性病例。对当前手术指征所依据的各种因素进行的详细评估表明,虽然从长远来看全胃切除术的结果是可靠的,但应采取一定程度的折衷主义。

相似文献

1
[Current therapeutic problems in the Zollinger-Ellison syndrome. Personal cases].[卓-艾综合征当前的治疗问题。个人病例]
Minerva Med. 1982 Nov 10;73(43):3015-21.
2
Nutrient malabsorption in the Zollinger-Ellison syndrome. Normalization during long-term cimetidine therapy.卓-艾综合征中的营养物质吸收不良。长期西咪替丁治疗期间的恢复正常。
Arch Intern Med. 1983 Feb;143(2):349-51.
3
[Zollinger-Ellison syndrome. Therapeutic aspects].[卓-艾综合征。治疗方面]
Ann Med Interne (Paris). 1984;135(5):403-6.
4
[Diagnosis of Zollinger-Ellison syndrome (ZES). Responsibility of the clinician].[卓-艾综合征(ZES)的诊断。临床医生的职责]
Rev Med Suisse Romande. 1982 Sep;102(9):845-52.
5
Zollinger-Ellison syndrome unresponsive to cimetidine.对西咪替丁无反应的佐林格-埃利森综合征
Am J Gastroenterol. 1979 Aug;72(2):168-70.
6
Effect of vagotomy in Zollinger-Ellison syndrome.迷走神经切断术对佐林格-埃利森综合征的影响。
Gastroenterology. 1979 Oct;77(4 Pt 1):682-6.
7
[Prolonged treatment of Zollinger-Ellison by cimetidine (author's transl)].西咪替丁对卓-艾综合征的长期治疗(作者译)
Nouv Presse Med. 1979 Apr 14;8(17):1403-7.
8
[Zollinger-Ellison syndrome--changes in surgical therapy. Analysis of 27 patients].[佐林格-埃利森综合征——外科治疗的变化。27例患者分析]
Chirurg. 1982 Apr;53(4):263-9.
9
Treatment of the Zollinger-Ellison syndrome. A 25 year assessment.卓-艾综合征的治疗。一项为期25年的评估。
Am J Surg. 1982 Mar;143(3):331-8. doi: 10.1016/0002-9610(82)90102-7.
10
Gastrinoma--current observations and management options.胃泌素瘤——当前观察结果与治疗选择
J Med Assoc State Ala. 1981 Dec;51(6):27, 29-30.

引用本文的文献

1
Serum gastrin in Zollinger-Ellison syndrome: II. Prospective study of gastrin provocative testing in 293 patients from the National Institutes of Health and comparison with 537 cases from the literature. evaluation of diagnostic criteria, proposal of new criteria, and correlations with clinical and tumoral features.佐林格-埃利森综合征中的血清胃泌素:II. 对美国国立卫生研究院293例患者进行胃泌素激发试验的前瞻性研究,并与文献中的537例病例进行比较。评估诊断标准,提出新标准,并与临床和肿瘤特征进行相关性分析。
Medicine (Baltimore). 2006 Nov;85(6):331-364. doi: 10.1097/MD.0b013e31802b518c.
2
Serum gastrin in Zollinger-Ellison syndrome: I. Prospective study of fasting serum gastrin in 309 patients from the National Institutes of Health and comparison with 2229 cases from the literature.佐林格-埃利森综合征中的血清胃泌素:I. 对美国国立卫生研究院309例患者空腹血清胃泌素的前瞻性研究,并与文献中的2229例病例进行比较。
Medicine (Baltimore). 2006 Nov;85(6):295-330. doi: 10.1097/01.md.0000236956.74128.76.